Provider Demographics
NPI:1679910863
Name:KAPADIA, POONAM KALIDAS (MD)
Entity type:Individual
Prefix:DR
First Name:POONAM
Middle Name:KALIDAS
Last Name:KAPADIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6651 VINELAND RD STE 150
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-7835
Mailing Address - Country:US
Mailing Address - Phone:407-355-9246
Mailing Address - Fax:407-370-4774
Practice Address - Street 1:6651 VINELAND RD STE 150
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-7835
Practice Address - Country:US
Practice Address - Phone:407-355-9246
Practice Address - Fax:407-370-4774
Is Sole Proprietor?:No
Enumeration Date:2013-05-28
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME125165207RE0101X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108232300Medicaid